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Human Technologies Corporation

Call us: (315) 724-9891

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Thank you for your recent interest in career opportunities with Human Technologies. To continue the employment process, complete the form below:

We are proud to be an Equal Opportunity Employer. Minorities, women, veterans, and people with disabilities are encouraged to apply.
Position Applying For*
2nd Choice
Date Available*
Referral Source*
- Walk-In
- Advertisment
- Employee
- Relative
- Agency
- Other
Resume
Resume
Personal Information
Full Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Email Address*
If necessary, best time to call you at home is
May we contact you at work?*
- Yes
- No
If yes, work number and best time to call
If you are under 18, can you furnish a work permit?
- Yes
- No
Have you filed an application here before?*
- Yes
- No
If yes, give date
Do you have family/friends who work for Human Technologies?*
- Yes
- No
If yes, who?
Have you ever been employed here before?*
- Yes
- No
If yes, when?
Are you legally eligible for employment in the United States?*
- Yes
- No
Type of employment desired*
- Full-Time
- Part-Time
- Temporary
- Seasonal
- Work Tryout
Will you relocate if the job requires it?*
- Yes
- No
Will you travel if the job requires it?*
- Yes
- No
Are you able to meet the attendance requirements of the position?
- Yes
- No
Will you work overtime if required?*
- Yes
- No
Employment History
Most recent/current Employer
Position
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Supervisor
Salary
Dates Employed
From To
Reason for Leaving
Job Duties
May we contact this employer?
- Yes
- No
Did you have another job before this one?*
- Yes
- No
Employer (Second Most Recent)
Position
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Supervisor
Salary
Dates Employed
From To
Reason for Leaving
Job Duties
May we contact this employer?
- Yes
- No
Would you like to list another previous job?
- Yes
- No
Employer (Third Most Recent)
Position
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Supervisor
Salary
Dates Employed
From To
Reason for Leaving?
Job Duties
May we contact this employer?
- Yes
- No
Education
Where did you attend high school & college? (Click the + button to add a new row)*
School Name & Address Major Years Completed GPA Degree/Diploma
References
References – Give 3 to 5 names of professional references, not related to you, who may be contacted*
Name Address Phone Business Years Aquainted
Skills and Qualifications
Summarize any special training, skills, licenses, certificates and/or characteristics of yourself that may qualify you as being able to perform job-related functions for the position for which you are applying.
List special accomplishments, publications, awards (Exclude memberships which would reveal race, sex, color, creed, age, national origin, religion, disability, sexual orientation, marital status, genetics or military status, or any other protected class.)
List any additional information you would like us to consider.

Affirmative Action Plan Data
Applicants are treated during the hiring process without regard to: race, sex, color, age, national origin, citizenship status, religion, disability, sexual orientation, marital status, military status, or any other applicable protected class or status recognized by federal, state or local law.

As a federal contractor, Human Technologies complies with all governmental regulations including Affirmative Action. Human Technologies collects data for recordkeeping, reporting and other legal requirements only.

Completing this form is OPTIONAL. If you choose to fill in the requested information, it will not be part of the hiring process. It will be maintained in a confidential file separate from your application and/or personnel file. Information provided or not provided will have no effect on the hiring decision.
Position Applying
Date
Name
Date of Birth
Gender
- Male
- Female
Ethnic Origin: (choose ONE)
- American Indian/Alaskan Native
- Asian & Asian American (Includes Pakistanis, Indians and Pacific Islander)
- Black (Includes Jamaican, Bahamians and other Caribbean’s of African but not Hispanic or Arabian descent)
- Hispanic (includes persons of Mexican, Puerto Rican, Central or South American or other Spanish origins or cultures)
- White (Includes Arabians)
- Other
Veteran Status
- Special Disabled Veteran
- Vietnam Era Veteran
- Veteran (Other)
- Not a Veteran

Voluntary Self-Identification of Disability
Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities. To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

How do I know if I have a disability?
You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.
Please check one of the boxes
- YES, I HAVE A DISABILITY (or previously had a disability)
- NO, I DON’T HAVE A DISABILITY
- I DON’T WISH TO ANSWER
Your Name
Today's Date

It is understood and agreed upon that any misrepresentation by me on this application will be sufficient cause for cancellation of this application and/or separation from Human Technologies service if I have been employed.

I give Human Technologies the right to investigate all references and to secure additional information about me, if job-related. I hereby release from liability Human Technologies and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.

Human Technologies is an Equal Opportunity Employer. Human Technologies does not discriminate in employment and no question on this application is used for the purpose of limiting or excluding any applicant’s consideration for employment on a basis prohibited by local, state or federal law.

This application is current for 1 year. At the conclusion of this time, if I have not heard from Human Technologies and still wish to be considered for employment, it will be necessary to fill out a new application.

I understand that just as I am free to resign at any time, Human Technologies reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of Human Technologies has the authority to make any assurances to the contrary.

I understand it is Human Technologies’ policy to hire qualified individuals with disabilities and to recognize the need for reasonable accommodations that may be required by the ADA.

I further agree to hold harmless those employers, educational institutions and individuals releasing information to Human Technologies regarding my application for employment.

Human Technologies is a Tobacco Free Company.

There are positions within Human Technologies that are subject to a background check. For details please speak with the Human Resources Department.

I have applied for a position at the above indicated facility. I hereby authorize the release of any educational information and/or any information regarding my job performance to Human Technologies and its affiliates.
My Full Name*
- I agree
- I do not agree
*
- I have read and understood the HTC policies.

Contact Info

Human Technologies
Corporate Office
2260 Dwyer Avenue
Utica, NY 13501
Telephone: (315) 724-9891
Fax: (315) 724-9896

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